Healthcare Provider Details

I. General information

NPI: 1699624296
Provider Name (Legal Business Name): LEANNIS ROJAS CEDENO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

188 SHAWI PASS
LEANDER TX
78641-3182
US

IV. Provider business mailing address

188 SHAWI PASS
LEANDER TX
78641-3182
US

V. Phone/Fax

Practice location:
  • Phone: 305-766-6301
  • Fax:
Mailing address:
  • Phone: 305-766-6301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1111847
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: